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AHIP AHM-250 Exam - Topic 4 Question 110 Discussion

Bart Vereen is insured by both a traditional indemnity health insurance plan, which is his primary plan, and a managed care plan. Both plans have a typical coordination of benefits (COB) provision, but neither plan has a nonduplication of benefits provision
A) 380
B) 130
C) 0
D) 550

AHIP AHM-250 Exam - Topic 4 Question 110 Discussion

Actual exam question for AHIP's AHM-250 exam
Question #: 110
Topic #: 4
[All AHM-250 Questions]

Bart Vereen is insured by both a traditional indemnity health insurance plan, which is his primary plan, and a managed care plan. Both plans have a typical coordination of benefits (COB) provision, but neither plan has a nonduplication of benefits provision

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Suggested Answer: A

by Chan at Apr 05, 2025, 07:32 AM

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Alecia
9 months ago
COB provisions are key in this situation.
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Lazaro
9 months ago
Wait, how does that even work without nonduplication?
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Merri
10 months ago
Definitely a smart move to have dual coverage.
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Ruby
10 months ago
Totally agree, more coverage can really help!
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Lonny
10 months ago
Bart has both a traditional and managed care plan, interesting combo!
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Jin
10 months ago
Based on similar practice questions, I think the coordination of benefits might lead to a total of 550, but I need to double-check the specifics.
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Rozella
10 months ago
I feel like the answer could be 0 if one plan covers everything, but I’m not entirely confident about that.
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Lamonica
11 months ago
I think I practiced a question like this where one plan was primary, but I can't recall the exact numbers we used.
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Cristal
11 months ago
I remember something about how COB works, but I'm not sure how it applies when both plans are involved.
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Kristine
11 months ago
I'm pretty confident I can solve this one. The key is understanding how the COB provisions work when there's no nonduplication clause. I'll walk through the calculation step-by-step.
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Malcom
11 months ago
Okay, I think I've got this. Since there's no nonduplication of benefits, I'll need to apply the COB rules to determine the total amount Bart's plans will pay out.
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Quentin
11 months ago
Hmm, I'm a bit confused by the wording here. Let me re-read the question a few times to make sure I understand the key details before trying to solve this.
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Han
12 months ago
This looks like a tricky coordination of benefits question. I'll need to carefully review the details about Bart's plans and the COB provisions to determine the correct answer.
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Lenora
1 year ago
I'm getting a headache just thinking about all these insurance terms. Maybe I should have studied harder for this exam. Oh well, I'll just guess and hope for the best!
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Stephaine
1 year ago
C) 0
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Romana
1 year ago
B) 130
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Georgeanna
1 year ago
A) 380
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Malinda
1 year ago
The key here is the lack of a nonduplication clause. That means the full amount should be covered, so C is the way to go.
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Chi
1 year ago
Hmm, I'm not so sure. With both plans having COB provisions, I'm thinking the amount might be reduced. I'll go with D, just to be safe.
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Timothy
1 year ago
D) 550
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Janae
1 year ago
C) 0
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Roxanne
1 year ago
B) 130
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Mike
1 year ago
A) 380
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Ruthann
1 year ago
I think the answer is C. If there's no nonduplication of benefits, then the entire amount should be paid out, right?
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Staci
1 year ago
Yes, you're correct. The answer is C because without a nonduplication of benefits provision, both plans will pay out the full amount.
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Hannah
1 year ago
I agree, the answer is C. Since there's no nonduplication of benefits provision, the entire amount should be paid out.
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Wilford
1 year ago
D) 550
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Bette
1 year ago
C) 0
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Corinne
1 year ago
B) 130
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Roxane
1 year ago
A) 380
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Tamar
1 year ago
I'm not sure, but I think the answer might be B) 130.
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Trevor
1 year ago
I disagree, I believe the answer is D) 550.
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Ozell
1 year ago
I think the answer is A) 380.
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